Military Behavioral Health最新文献_第2页

The Association between Early Life Trauma and Veteran Reintegration to Civilian Life 早期生活创伤与退伍军人重返平民生活之间的关系

Military Behavioral Health Pub Date : 2023-10-12 DOI: 10.1080/21635781.2023.2267434

Patrick M. Mendez, Laurie M. Slifka, Lori B. Daniels, Cheri Hansen

{"title":"The Association between Early Life Trauma and Veteran Reintegration to Civilian Life","authors":"Patrick M. Mendez, Laurie M. Slifka, Lori B. Daniels, Cheri Hansen","doi":"10.1080/21635781.2023.2267434","DOIUrl":"https://doi.org/10.1080/21635781.2023.2267434","url":null,"abstract":"AbstractThe rate of early life trauma (ELT) is higher among military service members than civilians. While ELT is associated with higher post-traumatic stress disorder following deployment, it is unknown whether other reintegration difficulties are associated with various types of ELT. The present study investigated the relationship between ELT and reintegration difficulties among veterans. Additionally, the influence of the desire to escape ELT as enlistment motivation on this relationship was examined. Data were obtained from 257 veterans between the ages of 20 and 76 years who served in the U.S. Armed Forces during the Global War on Terrorism. Results revealed a significant positive relationship between emotional abuse, sexual abuse, physical abuse, and physical neglect with veterans’ reintegration difficulties. Additionally, enlisting as motivation to escape ELT significantly influenced the relationship between emotional abuse and physical neglect with intimate relationship problems and career challenges, respectively. These findings help facilitate our understanding of factors contributing to reintegration difficulties. In particular, information about the individual history of veterans’ ELT and their enlistment motivation can be used by social workers and other mental health care professionals to successfully assist veterans with the transition to civilian life.Keywords: Veteran reintegrationmilitary transitionreintegration challengeschild abusechild neglectearly life traumamental healthchildhood maltreatmentpost-deploymentenlistment motivation Disclosure statementThe authors have no conflicts of interest to disclose.Data availability statementThe data supporting this study’s findings are available from the corresponding author upon a reasonable request.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135967902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges and Opportunities to Maximize Mental Health among Shipboard Sailors: A Qualitative Study 最大限度地提高船员心理健康的挑战和机遇:一项定性研究

Military Behavioral Health Pub Date : 2023-09-19 DOI: 10.1080/21635781.2023.2258785

Emily A. Schmied, Elizabeth M. Harrison, Robyn M. Englert, Cynthia J. Thomsen, Lisa H. Glassman

{"title":"Challenges and Opportunities to Maximize Mental Health among Shipboard Sailors: A Qualitative Study","authors":"Emily A. Schmied, Elizabeth M. Harrison, Robyn M. Englert, Cynthia J. Thomsen, Lisa H. Glassman","doi":"10.1080/21635781.2023.2258785","DOIUrl":"https://doi.org/10.1080/21635781.2023.2258785","url":null,"abstract":"Recent reports show U.S. sailors have the highest rates of self-reported psychological health symptoms of any service, perhaps in part due to the unique challenges of serving in a shipboard environment. Resources are available to maximize the psychological health of sailors while at sea, though no empirical research is available regarding sailors’ perspectives on what strategies, services, and programs they find most helpful and accessible. To address this knowledge gap, thirteen focus groups were conducted with sailors from two different ships (n = 86) to determine how they manage stress and maximize psychological health while underway. Content analysis of focus group transcripts conducted by two independent reviewers identified themes within three content areas: strategies and resources to manage stress and maximize psychological health; challenges to accessing supportive services and resources; and opportunities to improve psychological health. Five themes emerged for managing stress underway, the most common of which was engaging in physical fitness. Others included participating in organized social events, general comradery and social support, seeking help from medical, and communicating with Chaplains. Social and logistical barriers to seeking psychological healthcare were identified, including stigma, fear of adverse career repercussions, and too few providers/long wait times. Suggestions for improving psychological health at sea included improving sleep health, changes to workload and scheduling, increased shipboard providers trained in psychological healthcare, and increased social support. Specific interventions that may benefit shipboard sailors are sleep health education, improvements to berthing areas, adoption of circadian watchbills, telemedicine, and an increased number of social events aboard ships.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135060653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bullying in the Military: Do the Effects on Mental Health and Wellbeing Depend on the Source? 军队中的欺凌:对心理健康和福祉的影响取决于欺凌的来源吗?

Military Behavioral Health Pub Date : 2023-09-14 DOI: 10.1080/21635781.2023.2253731

Nicole M. Steele, Gerard J. Fogarty, Bryan Rodgers

{"title":"Bullying in the Military: Do the Effects on Mental Health and Wellbeing Depend on the Source?","authors":"Nicole M. Steele, Gerard J. Fogarty, Bryan Rodgers","doi":"10.1080/21635781.2023.2253731","DOIUrl":"https://doi.org/10.1080/21635781.2023.2253731","url":null,"abstract":"AbstractThe current study explored the prevalence and consequences of being bullied by coworkers, subordinates, and/or superiors within 21 Australian Defence Force units (N = 2,960). Data were collected as part of an organizational climate survey administered to each unit at the request of the unit commander. Bullying from multiple sources was more common than bullying from a single source, indicating climates of workplace bullying. Of the 945 respondents (31.9%) who reported experiencing workplace bullying, coworkers and superiors were the main sources either in isolation or in combination with other levels in the organization. Furthermore, there was evidence that the impact varied according to source. Compared to bullying from coworkers or subordinates, more detrimental effects were experienced when superiors were the sole source of workplace bullying; 23.6% of respondents in this situation reported ongoing distress or having to seek medical/mental health care. The associations between experiencing bullying and psychological distress, affective commitment, and job satisfaction were also stronger when superiors were the source of bullying. These results emphasize the importance of supervisors showing respect to all employees. Bullying behaviors are likely to be copied, creating climates where bullying can come from multiple sources, with consequent negative effects on the targets of these behaviors.Keywords: Bullyingmobbingharassmentmilitarysourceperpetratorpsychological distressmental healthcommitmentsatisfaction Disclosure statementNo potential conflict of interest was reported by the authors.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134912849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Bridge with Path Drawings with Military Service Members Experiencing Traumatic Brain Injury and Post-Traumatic Stress Disorder 在经历创伤性脑损伤和创伤后应激障碍的军人中使用路径图桥

Military Behavioral Health Pub Date : 2023-09-14 DOI: 10.1080/21635781.2023.2254223

Gioia Chilton, Christine S. Brady, Heechin Chae

引用次数: 0

Mental Health, Alcohol Use, and Associations with Pre-deployment Family Functioning in Active-duty Service Members 现役军人的心理健康、酒精使用与部署前家庭功能的关系

Military Behavioral Health Pub Date : 2023-09-14 DOI: 10.1080/21635781.2023.2246899

M. Jia-Richards, S. B. Morissette, J. W. Ellor, D. R. Myers, J. Crow, J. Whitacre, S. L. Dolan

{"title":"Mental Health, Alcohol Use, and Associations with Pre-deployment Family Functioning in Active-duty Service Members","authors":"M. Jia-Richards, S. B. Morissette, J. W. Ellor, D. R. Myers, J. Crow, J. Whitacre, S. L. Dolan","doi":"10.1080/21635781.2023.2246899","DOIUrl":"https://doi.org/10.1080/21635781.2023.2246899","url":null,"abstract":"AbstractAs service members prepare to deploy, poor mental health and increased alcohol use associated with the difficulties of the pre-deployment period may negatively impact service members’ family functioning. The etiology of poor family functioning may also differ for men and women serving in the military. The current study recruited U.S. military service members (N = 343, 28% women, 59% White) preparing to deploy to Iraq or Afghanistan to examine the effects of symptoms of depression, anxiety, stress, post-traumatic stress (PTS), and alcohol use (frequency and quantity) on family functioning. We also sought to identify whether those effects differed between genders. Across participants, PTS was the only factor significantly associated with worse family functioning (β = .01, SE = .00, t(251.99) = 2.03, p = .043), however the effect of depression was similar in magnitude and trending toward significance (β = .01, SE = .00, t(297.49) = 1.96, p = .051). Interactions between gender, mental health, and alcohol use were non-significant. Findings suggest that addressing service members’ PTS and depression symptoms pre-deployment could improve family functioning. Gender may not be a major factor for pre-deployment mental health and family functioning, although more research is warranted. Contrary to expectations, alcohol use was unrelated to family functioning. Future studies should consider using measures of drinking that capture alcohol-related problems in addition to consumption. As service members prepare to deploy, it is important to understand which factors are most impactful on family functioning as this may help target preventative interventions during the pre-deployment stage.Keywords: Militarypre-deploymentfamily functioningmental healthanxietydepressionstressposttraumatic stressalcohol usegender differences Disclosure statementNo potential conflict of interest was reported by the author(s).","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134970527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cervical Cancer Prevention Among Veterans: What Is the Impact of Military Sexual Trauma, PTSD, and Women’s Health Primary Care Providers on Screening and Prevention? 退伍军人宫颈癌预防:军人性创伤、创伤后应激障碍和妇女健康初级保健提供者对筛查和预防的影响是什么?

Military Behavioral Health Pub Date : 2023-09-13 DOI: 10.1080/21635781.2023.2246884

Ilaria Domenicano, Joan Combellick, Allison R. Warren, Tassos C. Kyriakides, Cynthia Brandt, Sally Haskell, Joseph Goulet

{"title":"Cervical Cancer Prevention Among Veterans: What Is the Impact of Military Sexual Trauma, PTSD, and Women’s Health Primary Care Providers on Screening and Prevention?","authors":"Ilaria Domenicano, Joan Combellick, Allison R. Warren, Tassos C. Kyriakides, Cynthia Brandt, Sally Haskell, Joseph Goulet","doi":"10.1080/21635781.2023.2246884","DOIUrl":"https://doi.org/10.1080/21635781.2023.2246884","url":null,"abstract":"Women veterans are more likely to receive cervical cancer screening than their civilian peers. Among veterans, those with mental health conditions are less likely to receive timely screening as compared to veterans without mental health conditions. The current study aimed to investigate whether a history of military sexual trauma, with or without concurrent PTSD disorder, and care from a provider with advanced training in women’s health (WH-PCP) altered the likelihood of cervical cancer screening among veterans. We conducted crosssectional analysis using a cohort of 89,249 women veterans, aged 21 through 64 years, who received outpatient care at any VHA medical center between FY13 and FY16. We used multivariable logistic regressions to examine variation in screening rates. The current study found that cervical cancer screening rate was higher among women assigned to WH-PCP (69.5% vs 61.2%). In the multivariable model with adjustment for patient characteristics and provider assignment, women veterans were more likely to receive cervical cancer screenings if they had a history of MST (OR = 1.14, p < 0.001), did not have a diagnosis of PTSD (OR = 1.06, p < 0.05), and were assigned to WH-PCP (OR = 1.48, p < 0.001). A statistically significant interaction effect was detected between MST and WH-PCP (p < 0.05). Veterans with a history of MST assigned to a WH-PCP were more likely to receive a screening than veterans with a history of MST not assigned to a WH-PCP. There is a complex relationship between MST and provider status, indicating a need to understand barriers and facilitators to cancer screenings.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135741705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Soldier Self-Regulation: Applying Self-Regulatory Concepts to the U.S. Army Context 士兵自我调节:将自我调节概念应用于美国陆军情境

Military Behavioral Health Pub Date : 2023-09-05 DOI: 10.1080/21635781.2023.2246897

Nicholas A. Moon, M. Milosevic, Kauyer Lor, Allyson R. Clubb, P. Converse, Richard L. Griffith, Kenneth Pitts, Rhett Graves, Kimberly Gomes, Jacqueline Kirshenbaum, Brian Moore

引用次数: 0

Elucidating How Combat and Non-Combat Stressors Predict Subsequent Posttraumatic Stress Disorder and Psychological Distress in New Zealand Defence Force Service Personnel 阐明战斗和非战斗压力源如何预测新西兰国防军服役人员随后的创伤后应激障碍和心理困扰

Military Behavioral Health Pub Date : 2023-08-21 DOI: 10.1080/21635781.2023.2246879

Kelsey Morrison, P. Jose

引用次数: 0

Psychological Flexibility Training to Enhance Resilience in Military Personnel 心理灵活性训练增强军事人员应变能力

Military Behavioral Health Pub Date : 2023-08-21 DOI: 10.1080/21635781.2023.2246900

Wyatt R. Evans, E. Meyer, Brian A. Moore, A. Peterson

引用次数: 0

Self- and Team-Efficacy in Military Trainees: Development of Two Novel Military Trainee-Appropriate Assessments 军训学员的自我效能感和团队效能感：两种新型军训学员适当评估的发展

Military Behavioral Health Pub Date : 2023-08-14 DOI: 10.1080/21635781.2023.2246888

Brian A. Moore, Paul A. Story, Jayne Allen, Jacqueline Kirshenbaum, Ashley H. Wittig, Kenneth Pitts, J. Judkins, Y. Feito

引用次数: 0